NCLEX Questions, PN NCLEX Practice Exam Questions, NCLEX-PN Questions, Nurselytic

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

PN NCLEX Practice Exam Questions

Extract:


Question 1 of 5

When using an interpreter to teach a client about a procedure to do in the home, the nurse should take which approach?

Correct Answer: D

Rationale: Face the client while presenting the information as the interpreter talks in the native language. This allows non-verbal communication and maintains a client-focused approach.

Question 2 of 5

The nurse is planning care for an 11-year-old child with attention deficit hyperactivity disorder who is hospitalized for surgical treatment of a fractured femur. What is the priority nursing action?

Correct Answer: A

Rationale: A structured environment (
A) supports ADHD management by reducing overstimulation and providing predictability, critical for a hospitalized child. Written schedules (
B) and verbal explanations (
C) are secondary, and restricting visitors (
D) is unnecessary.

Question 3 of 5

The nurse is caring for a client who has a hip fracture and is placed in Buck traction. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: B,C,D,E

Rationale: Monitoring for skin breakdown (
B), neurovascular checks (
C), neutral positioning (
D), and pain relief (E) are essential for Buck traction. Placing the client on the affected side (
A) is incorrect as it may disrupt traction.

Question 4 of 5

A client with right-sided weakness becomes dizzy, loses balance, and begins to fall while the nurse is assisting with ambulation. Which nursing actions would best prevent injury to the client and nurse while guiding the client to a horizontal position on the floor?

Correct Answer: C

Rationale: This technique (
C) ensures the nurse maintains balance with feet apart and uses their leg to guide the client safely to the floor, minimizing injury risk to both. Option A risks the nurse losing balance, B places the nurse in an unsafe position, and D involves improper body mechanics.

Question 5 of 5

When using an interpreter to teach a client about a procedure to do in the home, the nurse should take which approach?

Correct Answer: D

Rationale: Face the client while presenting the information as the interpreter talks in the native language. This allows non-verbal communication and maintains a client-focused approach.

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